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Division of Reclamation, Mining and Safety <br />Completeness Notices Checklist <br />File No. M- 2014 -009 Lam: <br />• erperator <br />• 6ounty Planning Department <br />County: Delta <br />S County Commissioners <br />County: Delta <br />♦ ❑� 'Soil Conservation District <br />SCD: Delta <br />♦ ❑ Municipalities (If Applicable: Within 2 miles and /or is Incorporated —See Directory) <br />Specify: None <br />♦ ❑ Army Corp of Engineers <br />Office: Select One: <br />* ❑.+ Division of Wildlife <br />♦ ❑ Forest Service <br />♦ ❑ US Fish and Wildlife <br />Office: Select One: <br />District: Select One: <br />Specify: NA <br />♦ Receive one copy of the Application, Legal Description and Location Map <br />Receive CD of Entire 112 Application, Receive one copy of Application, Legal Description and Location Map of 110 and 111 Applications <br />0 - Receive CD of Entire Application <br />Region: Northwest <br />♦ ❑ <br />Urban Drainages (If Applicable: Within 100 -year floodplain — Adams, Arapahoe, Boulder, Denver, Douglas <br />and Jefferson Counties) <br />♦ ❑ <br />Metro Wastewater (If Applicable: Within 100 -year floodplain — Adams, Arapahoe, Boulder, Denver, Douglas <br />and Jefferson Counties) <br />♦ ❑+� <br />Xir Pollution (Health Department) <br />♦ Q <br />Astorical Society <br />❑ <br />State Land Board <br />♦ ❑+� <br />4ater Quality (Health Department) <br />❑� <br />Water Resources <br />O ❑ <br />BLM <br />♦ ❑ Forest Service <br />♦ ❑ US Fish and Wildlife <br />Office: Select One: <br />District: Select One: <br />Specify: NA <br />♦ Receive one copy of the Application, Legal Description and Location Map <br />Receive CD of Entire 112 Application, Receive one copy of Application, Legal Description and Location Map of 110 and 111 Applications <br />0 - Receive CD of Entire Application <br />